David A Wagner Dds

LBN: David A Wagner Dds
David A Wagner Dds is an health care organization with primary practice located at 3023 Eastland Blvd Suite 112, Clearwater FL 33761-4106. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty. David A Wagner Dds can be contacted via phone (727) 797-5161, or through Wagner, David Alan via phone (727) 797-5161.

Contact Information

Primary practice address
3023 Eastland Blvd Suite 112 Clearwater FL 33761-4106
Phone: (727) 797-5161
Fax: (727) 797-5121
Website:
Map and Directions
Authorized official contact:
Name: Wagner, David Alan Doctor of Dental Surgery (DDS)
Phone: (727) 797-5161

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN13625 Florida
Suppliers / Customized Equipment 332BC3200X DN13625 Florida

Profile Details

NPI number 1952855470
LBN Legal business name David A Wagner Dds
DBA Doing business as
Authorized official Wagner, David Alan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2016
Last updated Feb 28th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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